Sexual identity and adverse health-related outcomes: a study on risk behaviour, suicide, and substance use
This PhD dissertation addresses how stress regarding one’s sexual identity relates to health-related adverse outcomes. It is composed of four articles. The first one examines how internalized homonegativity (IH) is associated with the number of non-steady male partners with condomless intercourse am...
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| Tipo de recurso: | tesis doctoral |
| Estado: | Versión publicada |
| Fecha de publicación: | 2023 |
| País: | España |
| Institución: | CBUC, CESCA |
| Repositorio: | TDR. Tesis Doctorales en Red |
| OAI Identifier: | oai:www.tdx.cat:10803/688118 |
| Acceso en línea: | http://hdl.handle.net/10803/688118 |
| Access Level: | acceso abierto |
| Palabra clave: | Sexual identity Sexual minority theory Men who have sex with men Internalized homonegativity Substance use Suicide Identidad sexual Teoría de las minorías sexuales Hombres que tienen sexo con hombres Homonegatividad internalizada Uso de sustancias Suicidio 316 |
| Sumario: | This PhD dissertation addresses how stress regarding one’s sexual identity relates to health-related adverse outcomes. It is composed of four articles. The first one examines how internalized homonegativity (IH) is associated with the number of non-steady male partners with condomless intercourse among men who have sex with men (MSM) in Spain. Results suggest that the meaning of risky sex changes among MSM depending on the IH levels. The second article investigates the relationship between internalized homonegativity and sexual risk behaviour by comparing samples of MSM in Spain and Turkey. This study highlights the importance of understanding of what constitutes safe sex may differ across contexts, and this should be taken into consideration when tailoring HIV prevention programs. The third article shows that sexual identityattraction discordance is associated with self-injurious thoughts and behaviours (SITBs), which presents especially alarming results concerning bisexual-identified men. Finally, the fourth article finds that early substance use initiation significantly mediates the relationship between sexual identity and substance use disorders later in life. These articles underline the continuing importance of minority stressors and sexual identity development on the health disparities among sexual minorities. |
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